440 NE 94 St (15)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
15 squares Date.. ... .._. ay°ch
Owner's Name and Address 111 P Char. ...�iCd l�is'1 .4'7_._ ».. No.&. D...._....__. Street!�T.
Registered Architect and /or Engineer
Name and address of licensed contractor Lar>< ...'3f .A ... �. Ti. CQ...,....�XlC..._.5Z'J �'.Yw :�..... •
Location and legal description of lot to be built on: 33150
Lot Block Subdivision
Street and Number where work is to be done 490 9 .eai
State work to be done and purpose of building (by floors) rear aJ: fL _az.I.S.tir T, r o. i ..
tin cap 1 -30 „= felt to sheathing boards rnop 1 -901b. slate yr th hot as -,halt
`3c.... cover _.:I?. ...e...lazier of _ataxlc/au:1d 1th _e....cemant...^1.if; P._. J Band for no other purpose.
New Building Remodeling Addition Repairs..RerOG . No. of Stories .1
To be constructed of Kind of foundation Roof Covering Sh-' n ?! 55 ... Tile
Estimated Total cost of improvements $ 2 r 17.5. Amount of Permit 3 ...5..
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to...
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection let e of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon. ctors ork to be perfo d under this
permit, as are licensed by Miami Shores Village. Air
Remarks..._ (Signed).. T!� _. r
and who, being by me
of the above described
therein by him stated a
Permit No.
Disapproved
(Signed
Building
ate..
ector
PLANNI
Chairman
Member
Member ...... — _..._ _ Council Approved Date
'BOARD _..— DATE
STATE OF FLORIDA,
COUNTY OF DADE. j SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
first duly sworn, upon oath deposes and says that he is the.
construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
e ems/
` � / Date 7-3
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
y Commission Expires
Member
Member
Member - - - -• --
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning .t Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOF NG
Owner of , --
Building - -- f . 4 - -(.."7
MIAMI SHORES VILLAGE. FLORIDA
❑ PERMIT N° 6432
Architect
Contractor f "`" k / '
or Builder 7 k / '
f -A -' .
i , ri ( I'
Legal Lot /I ' Subdi-
Description I Bl vision
Address of
Building
CONTRACTOI# OR BUILDF
- !171t/k..r
Contractor's
License No.
Work to be
performed under this Permit •� -�`' ! "-• ! �
Value of
Project
Signed. ( 51 - 4 - --- / / /its,
INSPECTOR
/ -
DATE q 195 7
Amount of r
Permit $ / i
AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with cal ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements oz.-specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY •
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, s tements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for alL.Nrozk done by ei r, mys f, my agent, servant or employee.
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not,.k of approved
plans and specifications must be kept at building during progress of the work. t i ` FF
Date. _ _ _.1 J
Owner's Name and Address ............. 4) . . '. 'r... ,z ... No. V
Street&4 9 .. T._
Registered Architect and /or Engineer
Disapproved_
( Signed) ✓��
MIAMI SHORES VILLAGE
/
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.e .. /.r. Px ..(.. _ 0.u... any C:.,,:? F . .. ez,s.,�:,,.,. ' ,WAIT
Name and address of licensed contractor t )�....... I` IC/ Y 'S
Location and legal description of lot to be built or.:
Lot Block bdivision J� f
Street and Number where work is to b:: done 7. 0 / 1..M_.. �. ... _. _....._
State work to be done and purpose of buil ing y fl ra)_. e ✓1(d Q.J'% -� (i •- ��''r .7'
I -. ' ... -- J Y �' --- ‹.. ...s .. ...T_ / 1_ e
Date-
r
Chairman
Member
Member
Council a i proved
Building Inspect
ter
and for no other purpose.
New Building Remodeling Addition Repair/re a�[ . of S
To be constructed of hind of oundr.tio�a... _ Roof Covering 7 c .............._.._
C
Estimated Total cost of improvements $ . -/0 ?S,l Amount of T'errnit $
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot _. ...... ............. _... ..... _
Maximum live load to be borne by each floor.- ........
I hereby bm all the plans a speci 'cations to: said buildin . All notices with re rence to the building and Is construction may
,
be sent to .r4:1/ i � r
.,C ,� 6.4 rj - -. - 7 �
The undersigned applicant for this building permit ;.toes hereby certify that he understands and accepts his obligations as an employer
of labor under the Honda Workmen's Compensation Act, being S.•ction 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be pertormed under this perinit; and will pest or cause to be posted for inspection on the s' a of the work such public notice
or notices as arc required by the Act. The undersigned agrees to ernploy only such subcon ctor3, on .we kAb be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks..._ _ -.._._ _ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by rrie first duly sworn, upon oath clepos::s cud says that he i the.
of the above described construction, that he has caret :illy :::ir% cha fpgoing application, and ?. hat he did sign the same, and that all facts
therein by him stated are t
Permit No.___._� 1 7 ` (/ Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Coir:°niraion Expires
DATE
MemLor
Member
. -... lA a Yt be'a �.._.._-
iztz Date
NOTE: A ch.uge of $I.Q9 soil! be made 40: leaking c.ireC Ni0715 er cLanires to 3his application after approval has been obtained from
the Planning Board.
A re- inspection fee of $;.00 will be c'.taaite (Mc% fic is rte e yescessary by improper notice for insertion or faulty
materials arv.,'or worlenalship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
MIAMI SHORES VI LLAG E
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
4 y 4 E%
Registered Architect and /or Engineer
Name and address of licensed contractor_..�!h, j DAil
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done f /_� /V' ' _S 7"
State work to a done and ose of buildin (by floors)
_.._ 4 / 0,/ /
5 /Q
Chairman
Member
Member
Date..._ • _..� �/ 0 ., 181
No �.1 .._... street....lJ" . "
a : .s_..3S S r , .7,/s
c ! 'lF C 62vr ,y, 7 T le„„.
.and for no other purpose.
New Building Remodeling Addition Repairs No. of toj "es ....0
To be constructed of Kind of foundation Roof Covering 1-7
Estimated Total cost of improvements $ 5 13-5"- Amount of Permit $ ~
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby sit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.._ . ./.r ..#612.6 ,Roe' ' Al c Z!f/L' s --s.5 /t L(). 7 1"
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on k o be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Read, Sworn to and Subscribed before me.
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public; duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him star d are true.
Permit No. _ ' _ � �_ Date._ .. r? -
Disapproved ..
Date. —
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLAN G BOARD DATE
Member
Member
Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
- ‘7P.4
b
26
27
V•4454 511D
51
52
A-s
•eG{7
2
3
28
53
4
29
54
5
30
55
6
31
56
7
32
57
8
33
58
9
34
59
10
35
60
11
36
61
12
37
62
13
38
63
14
39
64
15
40
65
42
'P)e 44•EP
66
17
18
43
68
19
44
69
20
45
70
21
46
71
22
47
72
23
48
73
24
49
74
25
50
`_
75
• Du Quesne & Associates, Inc. UTR 16436
Consulting Engineers Environmental • Civil • Structural
Testin Laborator Buildin Inspection Services
ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
Owner's Name: 4 6.44462.D G o l1wi. — LA A Permit #' 5 s Z �
Job Address' 410 I$ q 4 ST- I Not L ■A 5 Ei.o�ES t":1.
Roofing Contractor Qv. 46...1, Ty RD O' 1 fr-k
Type of Tile: QA'.IJ S 6E � — Date Installed 1 2 • 13 • gq
Approximate Roof Height: 1'S feet Roof Pitch 3 (Z
Type of Access to Roof: Scaffolds Ladder Other
Approximate Square Footage of Roof 29 oo ft 2
Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100
Date Tested. 1 .1 / • q 9
ge Du Quesne, P.E
Engineer
#24513 •
Du +uesne & Associa s, Inc.
E.B. License #0005 45
Lab Certification #94- 0318.01
SITE SPECIFIC INFORMATION
TEST RESULTS
P = PASS, F = FAIL
SKETCH OF ROOF IN BACK
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE
REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS.
Please Note: This form is not valid unless
Company logo appears in
color (burgundy)
7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426
KETCH OF ROOF
JOB
SHEET NO OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE
1 •
NOTES'
}
$KETCH OF ROOF
ic*
4 '
4.
t
NOTES 4/ ( c-/74 J217-19 N11-
JOB 4=10 YAP-. 94 S tb�
SHEET NO
CALCULATED BY DATE
CHECKED BY
SCALE
13 """ OF 'L
DATE
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 9 I'' 4'1 Job Address L P O N • L _ Q 4 t: Tax Folio
Legal Description Historically Designated: Yes No )(
L(fP `f
Owner/Lessee / Tenant M r . , ( D IU LJ L.R Master Permit #
Owner's Address 4 4 9 b f• E. 9 4 -sr Phone
Contracting Co. B 1►) W s E 1< 102 Address ' /w ! N • W . 1 1 ` 4-E
Qualifier T01-6, L) E€ Q SS# - / £ 'Phone (Q a1 1
State #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA R % OFING PAVING FENCE SIGN
ILE �oa�
WORK DESCRIPTION
Square Ft.
Signa weer and/1Condo resident Date
FEES: PERMIT
otary as to Owner and/or Condo President Date
My Commission Expires:
Municipal # Competency # / 1998 Ins. Co. u v4. I tub / D &
o � 1. s
1 "/ Estimated Cost (value) ` g'S o0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
RADON
Signatur4 of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder / ate
My Commission Expires: '7 V 97
C.C.F. NOTARY • BOND
4 I 197
Date
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
Date 1 1 h Job Address L4 9 0
Legal Description
Owner/Lessee / Tenant 1n r. (; u w L A L E z
Owner's Address .1 n ] p H F- 9 444 T
Contracting Co.
Signature
- 2 -. 0 14 %.) ()CEO {Ron ru
�o uJE.Se
Qualifier
S t a t e # Municipal # C o m p e t e n c y # / 1999" Ins. C o u p . L 1 * *Ts' . J
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFgG PAVING FENCE SIGN
WORK DESCRIPTION k E A E.AK-S 1 N / L E r— Q00-P
Square Ft. ) d $ p �"r
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws re ting constructi •� and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
,,
A r d
owner and/or Cond
Pre Jfl nt
Notary as to Owner and/or Condo President
My Commission Expires:
NP`( Y NCB OFr9CiAL NOTARY SEAL
)r- -z-l� SCOTT W DAVIS
t `1z COMMISSION NUMBER
� � - \ v: CC255237
ic y a 0 ¢ MY COMMISSION EXP.
FEES: PERMIT l' d u
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
'OP
APPROVED:
Zoning
Mechanical Plumbing
Building
S
N.E. 4 Li Tax Folio
1 ) I J J .r
Date
Date
�
Historically Designated: Yes No
Master Permit # 3 AK
Address 4 Fr.3t 1 0 - i 19 d �
Phone
SS# Phone fs a -/ 7 7 13
Estimated Cost (value) 1 q y S
Signatur4 of Contractor or Owner- Builder
1 /// 4 /
Notary as to Contractor or Owner - Builder Date
My Commission
IRENE TOLE/0
MY COMMISSION 0 CC307821 EXPIRES
September 12, 1587
BONDED THRU TROY FAN INSURANCE, INC.
Electrical
C.C.F. NOTARY 5 TOTAL DUE ''to
Engineering
11ltttkr
Date
Signs
APPROVED:
Zoning
Mechanical
O
Date' 8-26-99 Job Address 490 N. E. 94 Street Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address
490 N.E. 94 Street Miami Shores
Contracting Co. Quailty Roofing Contractor, Inc .
Qualifier Carlos Arocho
State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM feltas per code,
install galvanized eave drip and valley metal where required, mop on with type
III asphalt one layer of 901b. ASTM felt, install Spanish S Clay Santa Fe Colorthr
tile with adhesive foam setting.
Square Ft. 3 0 s q
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a pennit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio;: d zoning. Furth e, I authorize the above -named contractor to do the work stated.
/
e of owner and/or C
Notary as to Owner and/or C
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Richard Gonzalez
do Presi
A
FEES: PERMIT / 6 O. RADON
5
9�
YLOU HERNANDEZ
MY COMMISSION # CC 680474
•�� :; z EXPIRES: October 10, 2001
pr n ° " Bonded Thni Notary Public Underwrtmrs
C.C.F.
- NOTARY
Building / ) ` Y y
Master Permit #
Phone
756 -0782
Address 13800 N.W. 1st Avenu
Notary
as to on to or
My Commission Expires:
Electrical
Phone
ROOFING
Estimated Cost (value) $ 11,000.00
455?
751 -0382
PAVING FENCE SIGN
Signature of Contractor of er-Builder ate
• _ .
BOND 300,
TOTAL DUE L /O f
MARYLOU HERNAND
MY COMMISSION # CC 680474
a•. ter;. =" EXPIRES: October 10, 2001
- ' , 4 - ,;?y,,;-g! . •' Bonded Thru Notary Public Underwriters
Plumbing Structural Engineer
x
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address:
2. Description of improvement: Install new Spanish S Tile roof .
3. Owner(s) name and address: Richard Gonzalez
Interest in property: Owner
Name and address of fee simple titleholder: N/A
4. Contractor's name and address: Quality Roofing Contractor, Inc.
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: N/A
Amount of bond $ 0 0
6. Lender's name and address: N /A
7. Persons within the State of Florida designated by Owner upon wtiora,: n o{'r" eg,o
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N/A
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: N/A
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Owner
Print Owners Name I a rd a a. I ' Z
Sworn to and subscribed before me this ,7 day of Sift 19 q9 .
1
Notary Public
Print Notary's Name
My _Commission Expires:
490 N.E. 94 Street
13800 N.W. 1st Avenue
49[l N F. 94 StrPPt
Miami Shor Florida 3.3138
MY COMMISSION / CC 680474
cm-Mt-October 10, 2001
t:•
Bonded rnN Notary Public Undelwflters
99 R546653 1999 OCT 26 09:20
Miami Shores, Floirda 33138
Miami, Florida 33168
OF FLORIDA, COU 4T ' .) DA
Urar87 CCRYPV 4h4' this is a 4 • .
elginai lad in 45is ^f;ico on 7. gr-vi
o:y f�cnd :rr! n ` ii�
er documents may be served as provided
Prepared by: Carlos Arocho
Quality Roofing Contractor
Address: 13800 N.W. 1st Avenue
Miami, F1nri 33168
1,- n1_ra
Appendix "E" , •
. UNIFORM ROOFING PERMIT APPLICATION
1 4
Contractor's Name: ()tAa`, +y Vfoiii t adz( fob Address: 1 3/4 0 k\
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail-On Tile) (Mort wive Set T114>
❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs\Wood Shingles & Shakes) ❑ (Other) __ . 1
i ROOF TYPE
❑ New Roof Re roofing . ❑ Recovering 0 Repair ❑•Maintenance
Flat Roof Area (fe) Sloped Roof Area (fl?) 3P , \cj, Total (ft') ?Q .� j Master Permit No.
Exposure category (per ASCE 748): Building Classification category (per ASCE 7 -88 table 1):
ROOF HEIGHT AND SYSTEM DETAILS
• (Draw details as needed)
Ft.
Ft.
A
v
A
v
Fastener Type:
$PACING
Field:. Perimeter: orner:
123.0148 948
DETAIL 1 & 2
1
Page -1
T
r
r
• ....:.. PROCESS No.
r
r
r
r
r
r
ROOF PLAN
•
Ridge Ve11tIIYtien?
�I l� J
Appendix "
UNIFORM ROOFING PERMIT APPLICATION
• PROCESS No.
+SLOPED SYSTEM DESCRIPTION
z Underlayment
Insulation:
31.007 SLOTS
D ETA I L • 3
Fastener type & spacing:
Cap Sheets
• - Roo fCovtring
4 Drip edge:
Page -2
eccu€e d.t:
•
��`'D.�• F:e-lc 9 "al . tv
o.t . t_orever a 4- l o t t` S
ColOrfa_ T't„e
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations • •••
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
(Pmaxl: Ja_3 x 24.• (Aerodynamic'
(P nsax l: ) J,O x�, (Aerodynanuo
(Pmax3: t2. ,Q X 7t.. (Aerodyn
frMt
TILL CALCULATIONS
l+, tutuplter):a,1.il ) - M : ( 1,10 = M I')$ PCA:
Multiocr):39.,S I ) - M q iD , d M = :.Q • (i I PCA: (e t. f t " D
Multapiter): 3 Y I ) - Ma 5 M� :3a 419 PCA: (a 0
APPENDIX "F"
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the
required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this
form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum
requirements and standards of the industry for roofing system installations. Additionally, the following items
should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the
adjacent box indicates that the item has been explained.
0 —• 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues
such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the
agreement between the owner and the contractor.
‘.)-- 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed
in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to
removing the existing roof system)
(.9. . • Common Roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or
owner should notify the occupants of adjacent units of roofing work to be fig-.. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining
this appearance.
f .. C. S. Ponding Water: The current roof system and /or deck of the building may not' drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original
roofing system is removed. Ponding conditions should be corrected.
- 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from 'a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
with Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior
of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It
may be beneficial to consider additional venting which can result in extending the service life of roof.
S. The owner may contact the Miami -Dade Count_ Consumer Services Department for further
infofmation regarding the above.
»•ncr's /Agent's Signature
Date' ' Contractor's Signature
Post -its Fax Nola
To
t'u1�e^t.
Phone M
Fit •
Acceptance No.: 90.01 ;15.05
Approved: u_LL. L9i
0 /L0 /L1999 12 : 44 3056659626
7671
Date -
kern
Co.
P)' is r -
Fax a
say
Revises No. 96- 0319,02
BUILDING CODE. COMMITTEE
:?ROPoLITAN DADE COUNTY. FLORIDA
METRO•DAOE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1803
MIAMI, FLORIDA 33130 -1563
(305) 375.2901
FAX (305) 375.2908
DUC .NtTRQL NOTICE OF ACCEPTAKE PRODUCT CONTROL DIVISION
Santafe Tile Corporation (305) 375.2902
Ladrillera Sanrafe FAX (305) 372.8339
Bogota, Colombia
1'ut:r application fur Product Approval cf:
tasttltf� 711a Corporation, Nai1.On or Mortar/Adhesive Set Clay "Sasrrafe S" Roofing Tile
under Chapter S of the l`(etropolitara Dace County Code governing the use of Alternate Materials and Types of
Construction, and cotnpletely described in the plans. specifications and calculations u submitted by:
R.dland Technologies, The Center for Applied Engineering, Inc. and 7'e7twdl Craig Laboratories h Consultants,
Inc.
has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County,
Florida under the specific conditions set forth on pages 2 through 7 and the standard conditions set forth on page 3.
The approval shall not be valid after the expiration date stated below. The Building Code Compliance Office
reserves the right to secure this product or material at any time for a jobsite or manufacturer's plant f or quality
control testing. If this product or material fails to perform in the approved manner, the Building Code Compliar:cc
Office mny revoke, modify or suspend the use of such product or material immediately. The applicant Shall re-
evaivate this product or material should any amendments to the South Florida Building Code be enacted affe.:ring
this product or material. The Building Code Compliance Office reserves the right to revoke this approval, if it is
determined by the Building Code Compliance Office that this product or material fails to meet the requirements of
tnc South Florida Building Code. The expense of such testing will be incurred by the manufacturer
aul Rodrig ca
Expires: 01/22101 Product Control Supervisor
£HIS IS THF. C:OVER$H ET SEE ADM a A .. FO' o ' CENFWAI
CONDITIONS
This application for Product Approval has been reviewed by the Metropolitan Dade County Building; Code
i.:umpliance Department and approved by :he ildin Code Committee to be used in Dade County, Floora under
rht conditi':ni sat forth above.
Charles Danger, P.E.
Director
Building Code Compliance Dept,
Metropolitan Dade County
. mP 9 agn
Hoo e: h : / /
��:� «a�.�.•. nn.�w.n.�niPiti•.hui {ft 1710Cfi C1QC.nl1nA.COiIt
.
COMA CAST CORPORATIO PAGE 02
SANTAFE TILE: CORPORATION ACCEPTANCE NO" 9 ' '`1
/t►pp 114:1n t:
Santafe Tile Corporation
Lrdt iilera Santafe
Bogota. Colombia
Categer.: Prepared Roofing
Y
ivh- Cate�, High Profile Tile
Tvsc: Nail- uniNtartur SedAdhesive Set
Sub - i r.•e: Clay
System Description
Ladrillera Sartaa, Ideated in Bogota, Colombia, manufacturers clay roof the kr nuil•ort and
mortar: adhesive set applications. All Ladrillera Santafe tiles are available in standard ung!a eJ arJ
glazed .valor finish. This Product Control Approval relates to thojadriller`Santafe "Ravel" tile nrnt►ls.
Refer to attor4; Product Control 'Arnrnvals for csthertilt nrofiles
Santa re Tiie Corporation is the sole. approved distributor of Ladrillera Santafe roof tilts.
Test Product
Product Dir:tcn ions Svecilicntinns Drs • i is
Sanraft S Oft.
'tilt
Trim Paves
07/07/1999 12:44 3056659626
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Contact:
Daniel Bernal
General Manager
Santafe Tile Corporation
88'25 NW 95 St
MMiumi. Florida 33122 (2 317 )
(305)885.9002/838 -0050
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
11.18
waMS"
'S" :hick
I = vanes
w - varies
varying thickness
ASTM C 1167
ASTM C. 1167
Pugs: , of 8
Product Control No.:
Approval Date:
Expiration Date:
COMA CAST CORPnP TTr1
Janlory 22. 1'793,
�tttustir�• 22,101
one piece.
lay roof ::
Histh pro:lle,
equipped with hvo nail holes. For 1:1::'
on. mortar set *lid adhesive set
applications.
Accessory trim, clay roof pieces for
use at hips. rakes. ridges and valley
:arminations. Manufactured for eaCi1
file vrofi� t� ,_�
:'wkti — �
Roofing Product Contr•:1 Ex -•'r'
J
cm _ma
'-' t• -,-, . ••.. ..?W;A:10'17040 1; MA l;Ab 1 L UKrUKA I lU rAut ej
SAYTAFE TILE CORPORATION ACCEPTANCE NO.t 7•t 515,Q
TEST REPORTS
Test Asencv, . Test Identifier Test \'amjRenart • Date
The Center for Appiied Engineering, Inc. 94.1 56.9 Static Uplift Testing Aug,. 1994
PA 102
The Center for Applied Engineering. Inc. 25- 7205 -1 Static Uplift Testing March 1995
PA 101
Tht Cente: for Appiicd Engineering. Inc. 04 -1564 Static Uplift Testing Aug. 1994
PA 101
Tht Center ter Atpiied Engineering. inc. Project: 07- 07- 0-91 Wind Driven Rain Sept. 199
(307023) PA 100
Re.iand Technologies
Redland Technologies
Rediand Technologies
7161 -03
Appendix 11
7161 03
Appendix (11
7161-03
Appendix 111
Wind Tunnel Testing De:. 1991
PA la
0flail -On)
Static Uplift Testing Dec. 1991
PA 102
Static Uplift Testing Dec. 1991
PA 101(A)
Rediand Technologies P 0617.01 Wind Tunnel Testing Aug. 199-1
PA 108
(Mortar Set)
secland TechnolOYiei P 9631 - 01 Wind Tunnel Testing July. 1994
PA 108
(Mortar Set)
Redlar1d Technologies P 0402 Withdrawal .ept. 1993
Resistance Testing of
Screw vs smooth
shank nails
Tcs volt C.raiy, i.aboratorics & Consultants.
inc.
- - - -X
_A7 /A7 /1ggq 12_•_dd •a01RMCRQL=_
Late t' -i
Tech: G. Suarez
Page 3 of 3
t' AA PACT _ t'.nmmmCA T Tn
Physical Properties July 1994
A STM C 1167
Frank Zuloaga
Itooting Product Control Examiner
SA`T. rE TILE CORPORATION
SYSTEMS
SYSTEM 8:
Direct Deck Nail -on Application
Deck Type: Wood, Non- insulated
Deck Description: tion: w construction 14/32" or ', Ater plywood or wood plank.
Slope Range: 4":12"
:12
Note: Sy m B is o • v acceptable in this slope range.
instal! underlay system in compliance with Metro-Dade County
Application St dard 118.
lnsrnll tile compliance with tro -Dade County Application Standard PA
118. (Se 'Data for Attachment Cale ions" included in this Approval.)
1. For re -roof applications, 15/32" plywood is an cptable substrate.
U ndcrlaymcnt:
Ronfrng file:
Comments:
SYSTEM D:
Deck Type:
Deck Description:
Slope Range:
Undr, rl.iytrtcnt:
Roaring Tile:
Comments:
07/07/1999 12:44
Mortar or Adhesive Set Application
Wood, Non- insulated
New construction l9, or greater plywood or wood plank.
2":12" to 7 " :12
Note: System D is only acceptable in this scope ranee.
lnstatl underistyroent system in compliance with Metro-Dade Count!.'
Application Standard PA 120.
Install tile in compliance with Metro -Dade County Application Standard PA
120. (Sec "Data for Attachment Calculations" included in this Approval.)
1. For re-roof applications. 151 plywood is an acceptable subStratt.
3056659626
Fag: 4 of 2
ACC); to +titer_
Frank Zuloaga
Rooting Product Centro! Examiner
COMA CAST CORPORATIO
PAGE 05
S.
SANTA }E TILE CORPORATION ACCEPTANCE NO.: 0515.05
07/07/1999 12:44 3056659626
. . t..! . !1— .a-- — /. t• 6,11 Let A.• a NEM. - - a
SYSTEM LIMITATIONS
The standard minimum roof pitch for Ladrillera Sancafc's " Santafe S" high profile tile shall comply
with Dade County Application Standards PA 118, PA 119 or PA 120, depending on the method of
installation.
For nail -on applications, fasteners for mechanical attachment of tiles shall have a heed diameter
larger than that of the preformed holes in the tile.
3. System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide a minimum characteristic
resistance load greater than or equal to the required uplift resistance determined in compliance with
Metro-Dade County Protocol PA 115 or PA 127. The Ladrillera Santafe "Santafe S" tile profile has
been tested for both wind characteristics and static uplift performance, therefore, attachment
calculations for ineanllation in compliance with PA 1! or PA 127 shall be done as an 'Moment
Based System'
4. For mortar and adhesive At tile applications. a tied static uplift test by a Metro-Dade County
accredited testing agency, in compliance with Metro - Dade County Protocol PA 106, shall be
performed.
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
6. For mortar or adhesive set tilt applications. 30/90 hot mopped underl,ayment applications may be
installed perpendicular to the roof pitch prior to June I, 199$ unless stated otherwise by the material
manufacturer. Thereafter, 30/90 underlayment systems a hall be installed patallcl to the roof pitch in
compliance with Appendix 'A' of Dade County Protocol PA 120.
The appiicant shall retain the services of a Metro -Dade County certified testing laboratory to
maintain quality control in compliance with the South Florida Building Code and related protocols.
Page 5of$
COMA CAST CORPORATIO
Frank Zulaaga
Roofing Product Conrrel Examiner
PAGE 06
.r, Table 1:
Aerodynamic Multipliers
(
Nall -On, Direct Deck
-% (ft')
Tile Pcroflle
_
Mo ;• (ft
Mortar or Adhesive Set
0.31
Santafe S Clay Roof Tile ,
0.34 1
- -<
n r, 1 L.0 5 `�J�t�'Veastldtl
DATA FOR ATTACHMENT
CALCULATIONS
07/07/1999 12:44 3056659626
Page 6 of $
Frank Zutoaca
Roofing Product Control Examiner
Table 2: Restoring Moments due to Grevit - M, ft -lbf)
Tile Profile 2:12 3:12 I 4:12 5:12 0:12 1 7:12 1
Santafe S i 4.9 I 4.8 4. '4.6 4.5 4.4
Table 3: Attachment Resistance Expressed as a Moment. Mf (ft -Ibf) i
Tile Profile I Two ,approved One Approved 1 Mortar 'et 1 Adhesive Set
Nails Screw I I
! Santafe S 21.8 !BA - 23.6 1 61.9 J
COMA CAST CORPORATIO Por,P S7
.9,ANT.-kFE TILE CORPORATION
.•;'
.4/
.......
•,..4. .0
........f, ... 0.0 .r. , ./Y .
■
"
•••. . •Nr 0 %11 „rsr „
' . . r • ; .1: re" .4e
< ...... ; ow
, ..."-"..je .0,. (^,..O•
v .
.X
.... r.
.•
e•-•••••
••••
PROFILE DRAWING
r" . ,.
.-% ..•
1-••
r •
uutit - UNA 1U PAGE 08
ACCEPTANCE NO.: 97-nn 5;05
Pa i,fe 7 of S
ArMILLERA SANTAFE "SASTAFE s" CLAY ROOF TILE
,r
,r
Frank Zuloaga
Roofing Product Control Examiner
--
07/a7/'1999 12:44 3056659626
SANTAFE TILE CORPORATION
Santa re Tile Corporation
I-adrillera Sanr.fc
Bor.ota, Colombia
•
COMA CAST CORPORATIO PAGE 07
ACCEPTANCE NO.: 4-- 0515,p5
Product Control No.:
Approval Date:
Expiration Date:
97-0515.05
.1 nuor~_2 J99S
.hi n u 11 1'2..9101
NOTICE OF ACC EPTANCE STANDARD CO I 1 YS
Renesval of this Acceptance (approval) shall be considered after a renewal application has been tiled
and the original submitted documentation. including test supporting data, engineering documents, Are
nu older than eight (3) years
Any and all approved products shall be permanently labeled with the manufacturer's name. city.
sive., and the following statement: '.Dada County Product Control Approved ". or as specifically
stated in the aperific conditions of this Acceptance,
Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evalu:uion of this
product and the product is not in compliance with the code changes:
b) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance hoiden has not complied with all the requirements of this acceptance,
including the correct installation ofthe product;
d) The engineer who originally prepared, signed and sealed the required documentation initially
;ubmirtcd , is no longer practicing the engineering profession.
4. .Any revision or change in the materials, use, and/or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been
requested (through the filing of a revision application with appropriate fee) and granted by this
office.
Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process:
b) Misuse of this Acceptance as an endorsement of any product. for sales. advertising or any
other purposes.
o. The Notice of Acceptance number preceded by the words Dade County, Florida. and followed by the
expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance
is displayed, then it shall be done in its entirety.
A copy of this Acceptance as well as approved drawings and other documents. .where it applies. shall
be provided to the user by the manufacturer or its distributors and shall be available for inspection at
the job site at all times. The copies need not be resealed by the engineer.
8. Failure to comply with any Section of this Acceptance shall be cause for termination and removal of
Acceptance.
9. This Acceptance contains pages 1, through 8 this last pace.
ENO OF THIS APPROVA1/47 --
Page R of 1>
utoaga
Roofing Product Control Examin.r